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[不同浓度聚乙烯吡咯烷酮溶液对关节风湿性疾病患者的疗效]

[Efficacy of polyvinylpyrrolidone solutions of various concentrations in patients with rheumatic diseases of the joints].

作者信息

Matulis A A, Dadonene I G, Matskevichius Z K

出版信息

Ter Arkh. 1989;61(5):108-12.

PMID:2789438
Abstract

Twenty-six experimental animals, 93 patients with osteoarthrosis (OA) and 30 patients with rheumatoid arthritis (RA) were examined. Intraarticular injection of both 15% and 20% polyvinylpyrrolidone (PVP) solutions suppressed the development of experimental arthrosis in rabbits, which manifested in a decrease of the degenerative changes in the cartilaginous tissue of the joints. The clinical examination has demonstrated that the use of different concentrations of PVP produces an equally marked effect in OA. In the group of RA and OA patients given placebo the time-course of changes in the clinical data was pronounced less powerfully. PVP turned out to be effective in secondary synovitis, to influence the immunologic responses occurring in synovitis, and to exert a beneficial action on the rheological properties of the synovial fluid. The drug is completely eliminated from the articular cavity and the body during 5 days.

摘要

对26只实验动物、93例骨关节炎(OA)患者和30例类风湿关节炎(RA)患者进行了检查。关节内注射15%和20%的聚乙烯吡咯烷酮(PVP)溶液均抑制了家兔实验性关节炎的发展,表现为关节软骨组织退变的减轻。临床检查表明,使用不同浓度的PVP对OA产生的效果同样显著。在给予安慰剂的RA和OA患者组中,临床数据变化的时间进程明显较弱。PVP被证明对继发性滑膜炎有效,可影响滑膜炎中发生的免疫反应,并对滑液的流变学性质产生有益作用。该药物在5天内从关节腔和体内完全清除。

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